Nurse informatics discussions and response APA format.

Nurse informatics discussions and response APA format.

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Nurse informatics discussions and response APA format
Submit an initial substantive post of 250 words (about 1 page length) to question .Use headings for each main key point to clearly communicate to the reader the topic under discussion and leave no room for guessing. Your headings need to be Bold and aligned center-page.At least 3 References and citations should conform to the APA format.

Discussion Question: Provide a description of a practice concern in your area of practice. Outline how you used or can use health information technology to locate evidence-based practices that address this concern. Analyze how health information technology supports evidence-based practice. Support with citation.

Next respond to the below response from peers.

The postings should be approximately 100 words (about 1/2 page length) and include references as indicated by the instructor. Need 2 References and citations should conform to the APA format.

 

Jodi Initial Post.

Practice Concern in My Area of Practice

A practice concern in my workplace would be healthcare errors due to nurse and nursing assistant shortages. At my work, there are usually 2 nurses and 4 aides per floor for around 30 patients on each floor. For about a month now my work has been lucky to have 3 aides and 1 nurse per floor with a nursing supervisor that rotates between floors as needed. My facility has held a 5-star rating through the state and other surveyors in the past and I believe this number is at risk of decreasing due to this shortage in staffing. There have been more patient falls in the last 4 weeks than we have had in the past 7-8 months prior to having a staff shortage. Personally, I feel cares for patients are rushed which places patients at risk for many things such as falls.

Evidence Based Practices

Evidence based practice (EBP) research has been done regarding nursing shortage. A study supported by the Agency for Healthcare Research and Quality was performed using HIT which estimated that nursing schools need to graduate 25 percent more nurses each year. However, insufficient nursing faculty, inadequate financial resources, limited physical capacity, and insufficient clinical education sites mean that schools today cannot produce this number of nurses. (Nursing shortage, 2011). Information technology (IT) supports EBP by allowing health care practitioners to access and evaluate clinical evidence as they formulate their patient care strategies (Wells, 2006). IT and EBP both perform immense roles in healthcare.

References

L Wells. Role of Information Technology in Evidence Based Medicine: Advantages and Limitations. The Internet Journal of Healthcare Administration. 2006 Volume 4 Number 2.

Nursing shortage may have adverse impact on public health emergency preparedness: Research Activities, April 2011, No. 368. April 2011. Agency for Healthcare Research and Quality, Rockville, MD.

Next respond to the below response of my peers.

The postings should be approximately 100 words (about 1/2 page length) and include references as indicated by the instructor. Need 2 References and citations should conform to the APA format.

 

Jordan’s Week 6 initial post

Evidenced Based Practice

Health care is constantly changing and evolving and so is technology. Technology can be used in many ways in health care. With information technologies and data mining patient’s health care information can be used to improve quality care. “Recent advances in data mining techniques have resulted in wider applications in medical research, such as investigations into the causes of cardiovascular disease, lung cancer and cystic fibrosis” (Yi Chao, 2013).” Evidence based practice is research based practice that is the best practice for positive patient outcomes. Overall, practitioners want to prescribe the best treatment to their patients. One concern noted by many practitioners is the overuse of opioid pain medication. Opioid medications are constantly being prescribed when there is little to no confirmed effectiveness for their therapeutic use. Even though the list of side effects and adverse reactions continues to grow, opioids are the most frequently prescribed medication in the United States. (Miller & Gold, 2015) With health information technology and data mining we can see how many opioids are being written and what common diagnoses they are being written for. The Agency for Healthcare Research and Quality (ahrq.gov) uses research and evidence to create best practice standards. Using evidence based practice can make health care safer and improve quality overall. AHRQ also tracks data in order to improve performance and to evaluate the U.S. Health system.

Practice Concern

Low back pain is a common medical complaint in the emergency department. There are multiple treatment options for acute low back pain. Pharmacological treatments, non-pharmacological treatments, and injection therapies are available. The Agency for Healthcare Research and Quality (ahrq.gov) has done research review on the best treatment options for low back pain. Most trials were conducted in patients with non-radicular low back pain or mixed populations with primarily non-radicular low back pain. The findings were varied. For acute or subacute low back pain, NSAIDs, opioids and skeletal muscle relaxants were associated with small effects on pain versus placebo, and NSAIDs were associated with small effects on function. Acetaminophen and systemic corticosteroids were associated with no beneficial effects versus placebo. Overall, pharmacological therapies were associated with an increased risk of adverse events versus placebo. Non- pharmacological therapies including spinal manipulation, heat, massage, and low-level laser therapy were associated with some beneficial effects versus a sham therapy, no intervention, or usual care. Effects on pain and function were moderate for exercise, massage, and heat. Assessment and reporting of harms for non-pharmacological therapies were suboptimal but indicated no serious harms (ahrq.gov, 2016). Providers can use research such as this to educate patients on why opioids may not be the best treatment for acute low back pain.

References

 

Miller, N., & Gold, M. (2015). Prescription opioids and addiction. Psychiatric Annals, 45(10), 516-521. http://dx.doi.org/http://dx.doi.org/10.3928/004857…

Noninvasive treatments for low back pain. (2016). Retrieved from https://www.effectivehealthcare.ahrq.gov/ehc/produ… pain-treatment-report-160229.pdf

Yi Chao, H. (2013). Mining association rules between abnormal health examination results and outpatient medical records. Health Information Management Journal, 42(2), 23-30. doi:10.12826/18333575.2013.0003.Huang

 

……………………………….Answer preview……………………………….

The practice concern in my area of practice is the increasing use of mandatory overtime as a means of staffing. This staffing method is dangerous and it is caused by, among other things, the shortage of nurses and high admission levels. The effect is that it contributes to the decreasing patient care quality and the increase in reported medical errors that put lives of patients in danger (Rogers, Hwang, Scott, Aiken & Dinges, 2004)………………………………

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These questions refer to “Law 3: When your daily activities reflect your governing values, you experience inner peace” from The 10 Natural Laws of Successful Time and Life Management by Hyrum W. Smith.

1. What is the Productivity Pyramid?

a model outlining the four steps we need to be the most productive in meeting all of our personal goals, values and tasks
a model explaining specific steps which enable us to be as productive as possible in goal setting and achieving These questions refer to “Law 3
a model outlining the four steps leading from identifying our values to accomplishing our daily tasks while achieving inner peace
a model outlining the four steps necessary for a productive life in accomplishing the most we can in as little time as possible
2. Why is it important to prioritize our values?

to empower individuals with the confidence to make changes in their lives
to enable individuals to make decisions that are in line with their values
to encourage individuals to take care of their top priorities first
a and c
3. Look back to Smith’s list of governing values in the excerpt from lesson 4. In the following scenario, identify which values are in conflict and determine what choice Smith would make based on his list of prioritized values.
Smith is planning out his day at 6:00 a.m. when the baby wakes up crying. Smith’s wife is still sleeping. What should he do?

values 7 and 11; let his wife get the baby because he needs to get ready for work
values 5 and 10; take of the baby because his wife is sick and needs her sleep
values 1 and 7; let his wife get the baby because he needs to finish planning
values 5 and 13; take care of the baby so his wife can sleep a little longer
These questions refer to your reading in The Great Divorce by C.S. Lewis

4. Why did the Intellectual Ghost prefer to return to the grey town rather than journey to the mountains?

He would rather pursue questions than answers.
He wants recognition and fame for his ideas.
He was unwilling to admit his ideas were wrong.
all of the above
none of the above
5. What sin or flaw does the Ghost in chapter 5 represent?

intellectual stagnation
intellectual ignorance
intellectual timidity
intellectual superiority
6. What does the following quote (from chapter 9) imply? “There are only two kinds of people in the end: those who say to God, ‘thy will be done,’ and those to whom God says in the end, ‘thy will be done.’”

The individual chooses to go to heaven or to hell.
The individual’s actions solely determine his fate.
God chooses who goes to heaven or to hell.
Fate ultimately decides who goes to heaven or hell.
7. Which of the following best characterizes the Hard-Bitten ghost (in chapter 7)?

sarcasm
nepotism
optimism
pessimism
8. What aspect of human nature does Ikey represent?

greed
pride
vanity
purity
9. What governing value dictates how the woman in chapter 8 acts?

money
religion
family
appearance
For these questions, decide whether the italicized vocabulary word has been used correctly or incorrectly. Not all of the vocabulary words will be used.

10. The political cartoonist was accused of libel for his cartoon depicting the senator in a casino.

correct
incorrect
11. Anthony’s energy and vitiate created an optimistic hope for success among the doctors.

correct
incorrect
12. Despite his own lack of religious beliefs, Andrew was impressed by the dedication the group demonstrated towards following their traditional, orthodox faith.

correct
incorrect
13. The students were gradually lulled to sleep by the teacher’s monogamous tone.

correct
incorrect
14. Despite her fatigue, Elise was excited by the boost of synergy she experienced after she completed her first marathon.

correct
incorrect
15. The multi-millionaire’s generous endowment to the university will enable several new research facilities to be built.

correct
incorrect
16. Josh’s failure to make the football team provided the genesis of his focus on his basketball skills.

correct
incorrect
17. Bored by the constant attention given to her, the famous actress greeted her fans with an air of nonchalance and indifference.

correct
incorrect
18. Ever since she finished her doctorate in economics at Harvard, Susan has been increasingly disturbed at the economic differences between the bourgeoisie and the middle class.

correct
incorrect
19. Elizabeth addressed the audience calmly and provocatively despite the protestors’ attempts to disturb the conference.

correct
incorrect
20. Even Bruce’s jocund nature could not lift April out of her gloomy mood.

correct
incorrect
21. The task of finding everyone’s addresses to invite the 3,500 graduates to their 20th class reunion seemed insuperable.

correct
incorrect
These questions refer to President Kennedy’s Speech.

22. Why would President Kennedy choose to give this speech at Rice University in Houston, Texas, rather than from the White House?

Houston has a greater population than Washington, D.C.
Rice University is working on a project for the space program.
Kennedy needed to give an acceptance speech anyway.
The space center control station is in Houston.
b and c
b and d
23. What justification(s) does President Kennedy give for continuing the expensive space exploration program?

growth of science and education
creation of new jobs and industry
help in navigation and detection of natural disasters
a and b
all of the above
24. If you were to figure your birth into the time-line that President Kennedy uses to illustrate how quickly human knowledge is progressing, where would it most likely fit?

ten years ago
ten weeks ago
ten seconds ago
ten months ago
These questions refer to “Miniver Cheevy” by Edward Arlington Robinson.

25. Which of the following time periods would Miniver Cheevy have preferred to live in?

ancient Greece
Camelot of England
Italian Renaissance
Trojan War era
all of the above
26. What words suggest that Miniver basically wasted his life?

coughing (line 31)
drinking (line 32)
thinking (line 30)
All of the above
None of the above
27. Which of the following are personified in the poem?

romance
art
medici
vagrant
a and b
28. Which of the following best describes Miniver Cheevy?

fantastic
idealistic
irresponsible
realistic
Questions 43-46 refer to the “Usage Lesson: Parentheses and Brackets” section of his lesson.

29. Brackets signify that material is added to a quotation that wasn’t in the original quote. It is usually done for clarity.

true
false
30. Brackets around the letters “sic” show that you don’t have any idea what a quote is talking about.

true
false
31. You can avoid the overuse of parentheses by using commas effectively.

true
false
32. If you ever need to use parentheses within parentheses, then use brackets for the outer pair of parentheses.

true
false
These questions refer to “A Revolution Begins” from The Road Ahead by Bill Gates.

33. Bill Gates was able to accomplish his goal of creating a software company because

he sacrificed other things, like college
his work ethic
his vision of the future of computing
all of the above
34. What was the most important element in going from a two-man operation to the biggest software company in the world?

sheer luck
hard work
great creativity
original vision
35. Bill Gates passion for computers started with

playing complex video games
from reading science fiction magazines
playing tic-tac-toe on a cumbersome computer
using simple word-processing programs
For these questions, read the following paragraphs. They have been taken out of order. Your job is to decide what order they ought to be in. Once you have the correct order, answer the questions. Also, notice that this is an example of a literature-based essay. Notice what they do well, and also notice the weak spots, because in lesson 7 you will be writing a literature based essay rough draft — so pay attention, and learn from it. Keep in mind also, that this paper is by no means perfect, but it serves as a decent example of organization — if you can properly determine the order. Good luck.

A Closer Look at Gulliver

Paragraph 1

In Jonathon Swift’s novel Gulliver’s Travels, Gulliver’s personality is shown through the language of Swift. In the novel, Gulliver comes across as a humorless and very factual and formal person. The book is written like a log — there are no opinions, only facts are included. He is the narrator for the story, offering no insight and never detecting any double meanings. Never digging for information, he tends to be rather naive and accept things at face value.

Paragraph 2

Throughout the novel, Swift does an excellent job of revealing what Gulliver is really like by putting him in a variety of situations and showing his reactions in those instances. He shows that Gulliver is ultimately a humorless, factual, and naive person. He does not show compassion or reflective thinking, but rather is akin to the narrator of the story. This story would be very different if it had a light-hearted and funny person as the main character. One that was cognizant of the events unfolding. Perhaps Jerry Seinfeld . . .

Paragraph 3

Naive is another thing that Gulliver is. Though he captures surface meaning with complete accuracy, he is not a deep thinker and the relevance of things escapes him. This book is a satire, poking fun at government and social issues. However, Gulliver does not recognize it as a satire. The audience does though. We see situations in the book which parallel our own lives. For example, the Lilliputians fought a war over which end their eggs should be cracked on. The Big Endians, who are considered religious rebels for their egg cracking beliefs, think all eggs should by cracked at the big end. The reason there is a conflict is that there exists a royal edict that declares that eggs should always be cracked at the small end. Lustrog, a religious prophet, has said that “all true believers shall break their eggs at the convenient end” (pg. 48). This war may seem to have a silly cause to the reader. After all, who really cares what end an egg is broken at? It is in this way that Swift causes the reader to question what most wars are about. Are not some of the causes of our modern day wars just as peculiar?

Paragraph 4

In the book, Gulliver is portrayed as a relatively humorless individual. Even when he is in a funny situation, his response is not laughter, but rather a straight faced account of events. For example, not long after Gulliver is first discovered by the Lilliputians, he wakes up to find that one of them has “put the sharp end of his half-pike a good way up into my left nostril, which tickled my nose like straw, and made me sneeze violently . . .”(pg. 17). He calls the incident “a very ridiculous accident,” as if it were just a childish prank.

Paragraph 5

Gulliver is also a very factual and formal person. In his accounts of his travels, his opinion is never really revealed. Gulliver’s factual and formal persona is shown well in the following quote:

It would not be proper for some reasons, to trouble the reader of our Adventures in those Seas: Let it suffice to inform him that our Passage from thence to the East-Indies we were driven by a violent storm to the Northwest of Van Diemen’s Land. By an Observation we found ourselves in the latitude of 30 degrees 2 minutes South. Twelve of our crew were dead by immoderate labour, and ill food; the rest were in very weak condition.

This passage shows that he gives very straightforward accounts of his events. Everything seems very precise, down to the latitude. He tells about the deaths of his shipmates in a very matter-of-fact way, not mentioning his personal feelings about the matter. He shows no compassion toward them and does not mention any names of friends or others that he might miss.

36. What is the best order for the above paragraphs for them to make sense to the reader?

1, 2, 3, 4, 5
1, 3, 5, 4, 2
1, 4, 5, 3, 2
1, 4, 3, 2, 5
37. Which of the above paragraphs would make the best ending?

2
3
1
5
4
These questions refer to “Chapter 7: The Power of Goals” from First Things First by Steven R. Covey, A. Roger Merrill, and Rebecca R. Merrill.

38. Which of the following is not a quality of effective weekly goal setting?

goal should take a lot of time to write
goal reflects our basic needs
goal is conscience-driven
goal is in our Circle of Concern
39. “I will lose fifteen pounds in three months.” Would this goal be a determination or concentration?

determination
concentration
none of the above
40. Which of the following questions regarding goal setting provides the most powerful motivation?

How will I achieve my goal?
Why is this my goal?
When will I achieve my goal?
What is my goal?
41. What role does self-awareness play in goal setting?

helps individuals understand the goal must be accomplished alone
helps in outlining a plan to accomplish the goal without obstacles
helps in establishing realistic goals that don’t aim too high or too low
helps individuals become aware of their ability to meet any goal
42. “I will spend more time strengthening relationships with my family.” Would this goal be a determination or a concentration?

determination
concentration
none of the above
These questions refer to the “Organization” section of this lesson.

43. My paper is all about mountain lions.

good opener
poor opener
44. After we had circled for miles and miles in the drifted snow, following the big cat’s tracks, the sun began to set, and I began to wonder who was being hunted.

good opener
poor opener
45. Which of the following is a good example of an ending that is thought provoking or interesting?

Then I woke up and realized it was all a dream, and I was very happy that I woke up before anything else happened.
So, now you know all you ever needed to know about karate because I have covered all that is necessary in my paper.
I have now clearly given you all the reasons that you should have a dog.
After all, David O. was the most spacey, zit-faced, dufus ever. I should know — he was my best friend.
46. Why should you put details of your paper in a specific order, rather than just randomly throwing them out to your reader?

A logical order makes your paper much more persuasive to the reader.
If everything is tied back to the main idea, the reader is less likely to get lost.
An interesting beginning, a supportive body, and a thought-provoking conclusion will always make your paper stronger.
all of the above

 

 

 

 

 

 

……………..Answer Preview……………..

These questions refer to “Law 3: When your daily activities reflect your governing values, you experience inner peace” from The 10 Natural Laws of Successful Time and Life Management by Hyrum W. Smith.

 

1. What is the Productivity Pyramid?

            *A model outlining the four steps leading from identifying our values to accomplishing our daily tasks while achieving inner peace

2. Why is it important to prioritize our values?

            *to enable individuals to make decisions that are in line with their values

….

APA

1929 words

The Mozart Effect.

The Mozart Effect.

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The Mozart Effect

……………Answer Preview……………..

Music may induce a relaxation effect mood to the mind since it helps you cure some problem like fatigue and also has important effect on the mental. It helps to improves intellectual abilities of the person to think. This showed an increase in spatial intelligence which result in an increase in intellectual abilities. The fact that the music used in the study by Mozart had high regards to the music since it help them make them smarter. The music…………..

APA

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